Company Name: ______

Agent Application Form

Please complete the application below. Use all the space you need for each question to provide as much information as possible.

Company Details
Company Name
Street Address
Postal Address
Phone
Fax
Email
Web
Skype
Principal Officer
Name
Position
Phone
Email
Contact Officer
Name
Position
Phone
Email
Company Background
Does your agency currently work with EduCo International as a subagent?
If yes, for how long? / Yes or No.
Please provide your business registration no. / Attach a copy of your business registration.
Please provide details of registering country and authority.
Has the company or any individual within the company ever been involved in litigation, arbitration, administrative actions or disputes? / Yes/No.
If Yes, please provide details.
Please provide a business profile/strategic plan. / Attach a copy of your business profile/strategic plan.
Please provide an organizational chart. / Attach a copy of your company’s organizational chart.
Please list your company’s key business activities.
What year was your company founded?
How many years has your company been an education agent?
How many staff is employed by your company?
Number of Offices (locations). / Attach office contact details.
Does your company work with sub-agencies? / Yes/No.
If Yes, please provide details.
Does your company have any association/affiliation with other relevant organizations? / Yes/No.
If Yes, please provide details.
Does your company have any association with local authorities/governments? / Yes/No.
If Yes, please provide details.
Have you completed AIRC certification process? If yes, were you certified? / Yes/No
If Yes, please provide certificate.
What is your knowledge of SEVIS/U.S. Immigration Regulations? / Please provide a short summary on your knowledge of the Department of Immigration and Citizenship (DIAC) regulations.
(For China Agents Only)
Is your agency on the Chinese list of approved Agents by the Ministry of Education or under an approved agreement? / Yes/No
If Yes, please provide details:
Marketing
Please indicate the geographical territory or territories you service (city, state, province, country, etc.)
Please provide a description of your target market, market trends and demands.
Please provide a brief proposal for the promotion and marketing of Duquesne University. / Attach a marketing plan.
Performance
Please indicate the number of students your company sent abroad last year.
How many students did you place in the United States in particular?
How many to other countries? Which countries?
Please indicate the distribution of students by level of study. / English as a Second Language
Undergraduates
Freshman
Transfer
Graduate Students
Masters
PhD
Please propose the number of students you plan to send to Duquesne University over the next two (2) academic years.
Service Fees & Charges
Please list the specific services you provide for students at your agency.
Do you charge students for your services? If yes, what is your fee?
References
Educational Reference / Please provide the contact details of two educational referees
Name
Position
Organisation
Address
Phone
Email
Educational Reference
Name
Position
Organisation
Address
Phone
Email
Student Reference / Please provide the contact details of two student referees
Name
Email
Institution where student was placed.
Student Reference / Please provide the contact details of two student referees
Name
Email
Institution where student was placed.

Declaration

I am interested in representing Duquesne University as an Educational Representative and I agree to do so in an honest and professional manner. I, therefore, agree to:

  • Read and monitor the Duquesne University website and Duquesne International Admissions website for any policy changes for admission and recruitment practices as well as university policy
  • Regularly monitor changes to U.S. Immigration policies as reported on the SEVIS website.
  • Read the Guidelines for Ethical Practice in International Student Recruitment on the NAFSA Website:
  • Read the agent guidelines and AIRC Certification Standards on the American International Recruitment Council (AIRC) website. (Applicants are not required to have AIRC Certification, but a familiarity with the guidelines is necessary).
  • I understand this the completion of this application does not imply an automatic acceptance and that the agreement will not begin until an acceptance letter and contract are finalized with Duquesne.

Signed:

Name:Date:

Organization:Position:

1